Active NPI
TP KCB Harbour Village Opco, LLC
- Assisted Living Facility
- Greendale, WI
National Provider Identifier
1154299386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- TP KCB HARBOUR VILLAGE OPCO, LLC
- Doing business as
- Harbour Village
- Practice address
- 5900 Mockingbird LN
Greendale, WI 53129-1459 - Phone
- (414) 421-9600
- NPI assigned
- Oct 28, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew McConkie
- Title
- Manager
- Phone
- (917) 921-0531
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary | ||
| Alzheimer Center (Dementia Center) | 311500000X |
Addresses
Primary practice location
5900 Mockingbird LN
Greendale, WI 53129-1459
Mailing address
2265 E Murray Holladay Rd
Holladay, UT 84117-5379
Phone (917) 921-0531
Other names 1
- Harbour Village
National Provider Directory
National Provider DirectoryLocations
2265 E Murray Holladay Rd
Holladay, UT 84117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761609600000",
"number": "1154299386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2265 E MURRAY HOLLADAY RD",
"city": "HOLLADAY",
"state": "UT",
"postal_code": "841175379",
"telephone_number": "917-921-0531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 MOCKINGBIRD LN",
"city": "GREENDALE",
"state": "WI",
"postal_code": "531291459",
"telephone_number": "414-421-9600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TP KCB HARBOUR VILLAGE OPCO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-28",
"last_updated": "2025-10-28",
"certification_date": "2025-10-28",
"status": "A",
"authorized_official_last_name": "MCCONKIE",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "917-921-0531"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "311500000X",
"taxonomy_group": "",
"desc": "Alzheimer Center (Dementia Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Harbour Village",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greendale, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.